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Study: Hip arthroscopy for FAI suitable for adolescents based on favorable outcomes
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Results from this study indicated adolescents with femoroacetabular impingement treated with hip arthroscopy had favorable outcomes compared with adult patients.
Researchers prospectively evaluated 122 consecutive hips in 108 adolescent patients and a control group of adult patients with 122 consecutive hips with symptomatic femoroacetabular impingement (FAI) treated with hip arthroscopy. They assessed patients preoperatively and at 3 months, 12 months, 24 months and 60 months with the modified Harris Hip Score (mHHS). Overall, the follow-up average 30 months.
Based on the results, the preoperative mHHS of 68.3 points in the adolescent group improved to 93.6 points at the mean follow-up of 29.8 months. In adult patients, however, it improved from 63.3 to 85.6. Investigators noted the duration of symptoms in adolescent patients and adult patients averaged 16.6 months and 31.2 months, respectively. In the cohort, 95.9% of adolescent patients and 61.5% of adult patients participated in athletic activities.
According to researchers, adolescent patients had 111 labral tears of which 85 underwent refixations, 26 underwent debridements and there were 101 acetabular chondral lesions, four microfractures and three femoral chondral lesions. There were 103 labral tears in adult patients of which 52 underwent refixations and 51 debridements and there were 112 acetabular lesions, 20 microfractures and 17 femoral chondral lesions.
There were 15 concomitant extra-articular surgeries in the adolescent patients vs. five in the adult patients. Repeat arthroscopy was needed in four adolescent patients and one patient underwent periacetabular osteotomy; whereas, one patient in the adult cohort underwent a repeat arthroscopy. ‒ by Monica Jaramillo
Disclosures: Byrd reports he receives support from Smith & Nephew Endoscopy and A3 Surgical. Please see the full study for a list of all other authors’ relevant financial disclosures.
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